Lateral intermuscular approach to anterior tibial artery: A case report

Abstract

Infra-inguinal bypass to anterior tibial artery for critical limbs are commonly performed via interosseous route. Lateral intermuscular route is an alternative to it. We present a case of a 48-year-male who presented with digital gangrene due to popliteal artery occlusion. Patient had arteriography suggestive of occlusion in the popliteal artery therefore the patient was taken to operation room department and underwent left femoral to anterior tibial artery bypass using lateral intermuscular route. We report this to emphasize the technical feasibility of this technique.